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Asthma control in general practice -- GP and patient perspectives compared.

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Asthma affects 12.7% of adults. While general practitioners (GPs) and patients generally agree on asthma control, adherence to medication remains suboptimal, highlighting the need for improved management strategies.

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Area of Science:

  • Respiratory Medicine
  • General Practice
  • Health Services Research

Background:

  • Asthma control perception influences management and adherence.
  • Understanding GP-patient concordance is crucial for effective asthma care.

Purpose of the Study:

  • Determine adult asthma prevalence.
  • Measure patient asthma control using the Asthma Control Questionnaire 5-item version (ACQ-5).
  • Assess correlation between GP and patient perceptions of asthma control and impact.

Main Methods:

  • Utilized a Supplementary Analysis of Nominated Data (SAND) sub-study from the BEACH program.
  • Surveyed 2563 adult patients from 103 general practices.
  • Employed the ACQ-5 for asthma control assessment and patient self-report for medication adherence, analyzed with Pearson's correlation.

Main Results:

  • Asthma prevalence was 12.7% (95% CI: 10.9-14.5).
  • Good correlation observed between GP and patient perceptions of asthma control/impact.
  • Sub-optimal medication adherence and higher levels of uncontrolled asthma indicated by grouped ACQ-5 scores.

Conclusions:

  • The ACQ-5 is valuable for assessing asthma control.
  • ACQ-5 can prompt medication reviews and reinforce the benefits of compliance.
  • Improved medication compliance is key for long-term asthma control.